Intracranial Meningiomas: Prognostic Factors and Treatment
Updated: Jul 30, 2023
Talk Title: Intracranial Meningiomas: Prognostic Factors and Treatment
Author: Dr. Habchi Nawel Neurosurgery Department
Mustapha Pacha University Hospital Algiers
Algeria Email: nawelmedbio@yahoo.fr
Volume: Neurosurgery 2023_CN38_AA01
International Live Conference on Neurosurgery Date: July 29, 2023
Time: 8 PM Indian Standard Time
Location: Online Conference
Theme: Exploring Innovations and Overcoming Limitations in Neurosurgery
Abstract:
Meningiomas are benign extra parenchymal tumors developed at depend of arachnoid villi. They derive their gravity from their location in hyperfunctional areas and histopatological grade. We report a retrospective series of 164 patients operated on intracranial meningioma in the neurosurgical department of the Mustapha BACHA University Hospital Center, between January 2012 and March 2023.
Our series consists of 53 men (32.36%) and 111 women (67.63%), the W/M sex ratio is 2.09, patients are aged from 16 to 80 years with an average age of 52 years, 59.14% are over 50 years. Anatomopathology concluded that there was a predominance of Grade 1 and Grade 2 among women according to the WHO classification, no patients received radiation therapy. Mortality is 3.65%. Tumor recurrence is present in 21 cases (12.80%) which motivated a second intervention with Simpson I type excision. This recurrence is more common in grade II meningiomas after an average follow-up period of 8 years. The predominance of location of intracranial meningiomas is at the level of convexity 70 cases (42.68%) followed by the location at the level of skull basis with 56 cases (34.14%) was observed, this result is consistent with the data of literature.
A multicentric study in northern Europe for cases (n=906) and controls (n=1774) shows that the risk of meningioma in women, under the age of 50 years, increases with the number of pregnancies (birth of 3 or more children) compared to nulliparous women. In our series, we found that 75% of cases have three children before the age of 40 years compared to 11% nullipares. Indeed, meningiomas are tumors sensitive to hormones, the combined action of progesterone and growth factors contribute to the growth of meningioma.
Our experience has clearly shown us that the risk factors for the occurrence of this pathology are female sex, age above 50 years, number of pregnancies greater than three before age of 40 years, taking progestin. However, the variety of clinical presentations and locations, as well as the varying degrees of aggression of the lesions make intracranial meningioma a protein-forming surgical entity, imposing a management discussed case by case, adapted to each patient.
Keywords: meningioma, grade, woman, age, hormone.
Biography: Dr. Habchi Nawel: Neurosurgeon, Educator, and Prolific Author
Dr. Habchi Nawel is a distinguished neurosurgeon based at the Department of Neurosurgery at Mustapha Pacha Hospital in Algiers, Algeria. Her impressive educational journey began with a PhD in Biology from the University of Sciences and Technologies Houari Boumediene, Algiers, Algeria, showcasing her dedication to understanding the complexities of life at a molecular level.
In addition to her scientific pursuits, Dr. Nawel's intellectual prowess extends to language education. She obtained a Master's in Didactic of Foreign Languages, specializing in the English department, from the University of Algiers. This diverse skill set enabled her to communicate effectively with colleagues and students from different backgrounds.
Dr. Nawel's passion for both medicine and education led her to become a teacher at the Higher School of Sport Sciences and Technology. As an educator, she not only shared her medical expertise but also inspired young minds to explore the intersections of science and sports.
Her expertise in sports medicine garnered recognition, as she became a valuable member of the Medical Commission of the Algerian Olympic Committee (COA) in January 2016. In this capacity, she contributed to the well-being of athletes and the advancement of sports medicine practices.
Dr. Nawel's commitment to research and academic collaboration earned her memberships in prestigious organizations, including the International Association for Sports Medicine and Kinetics (IASMK) and the International Epilepsy Surgery Society (IESS). Through these memberships, she engaged in cutting-edge research and knowledge exchange with global experts.
At the Laboratory of Sociological Sciences Applied to Sport, Dr. Nawel assumed the role of Leader of a Scientific Research Team. This leadership position allowed her to delve into the broader sociological implications of sports and their impact on society.
Her inquisitive mind also found expression in the Laboratory of Biological Sciences Applied to Sport, where she actively contributed to groundbreaking research projects at the intersection of biology and sports medicine.
Dr. Nawel's dedication to academia extended to the Scientific Project at the University of Sciences and Technologies Houari Boumediene, where she remained an esteemed member.
As a testament to her expertise, she supervised Master's theses in Biology at the University of Sciences and Technologies Houari Boumediene, nurturing the next generation of researchers and medical professionals.
Dr. Nawel's contributions to the field of neurosurgery, biology, and sports medicine control are exemplified through her authorship of books and numerous scientific articles. Her work has enriched the medical community and advanced knowledge in these critical disciplines.
Her commitment to disseminating scientific knowledge led to her involvement as an editorial expert in reputable scientific journals, ensuring the highest standards of research publication.
Beyond her academic and medical roles, Dr. Nawel also embraced diplomacy, representing her expertise as a Delegate at Best Diplomats Turkiye, fostering international collaboration and cultural exchange.
To further extend her impact, Dr. Nawel also served as a teacher at the University of Victoria in London, UK, bringing her wealth of knowledge and experiences to a diverse student community.
Dr. Habchi Nawel's remarkable journey as a neurosurgeon, educator, and prolific author continues to inspire the medical and academic spheres, leaving an indelible mark on her fields of expertise.
